Flashcards in 00 CHF Deck (28):
What are the cornerstone treatment options for CHF?
Diuretic (usually loop), ACE-I (or ARB) and BB
What is the generic name of Lasix?
What is the generic name of Vasotec?
What is the generic name of Prinivil, Zestril?
What is the generic name of Accupril?
What is the generic name of Altace?
What is the generic name of Cozaar?
What is the generic name of Diovan?
Clinical benefits of BBs are NOT considered a class effect, which BBs are recommended in the guidelines?
Carvedilol, Metoprolol succinate, Bisoprolol
Which type of BBs should be avoided in CHF?
Ones with ISA activity (CAPP)
What is the generic name of Toprol XL?
Metoprolol Succinate ER
What is the generic name of Coreg?
When should an Aldosterone Receptor Antagonist (ARA) be added to standard therapy in CHF?
For patients who have progressed to functional class III or IV
What is the generic name of Aldactone?
What is the generic name of BiDil?
When is BiDil indicated?
In self-identified black patients with functional class III or IV heart failure who are symptomatic despite optimal therapy with ACE-I and BBs
When is BiDil contraindicated?
With PDE-5 Inhibitors
What is the generic name of Monoket?
How does Digoxin work?
Inhibits the Na/K ATPase pump which results in a positive inotropic effect (increase in cardiac output). It also exerts a parasympathetic effect which provides a negative chronotropic effect (decreases heart rate)
What is the generic name of Lanoxin?
What is the Digoxin therapeutic range for HF?
What is the generic name of Klor-Con?
When is Potassium Chloride contraindicated?
(3): Severe renal impairment, Hyperkalemia, Oral solid dosage forms are contraindicated in patients with delayed or obstructed passage through the GI tract
What is usually done to treat someone who has Acute Decompensated Heart Failure (ADHF) presenting with Hypoperfusion?
IV vasodilators are contraindicated. May be necessary to initiate therapy with an IV inotropic drug such as Dobutamine, Dopamine, or Milrinone. DA is the DOC in HF patients with SBP < 90
What are the vasodilators used in ADHF?
Nitroglycerin, Nitroprusside, and Nesiritide
Why must Nitroprusside IV be protected from light?
It can degrade to cyanide (bag shows a blue-color), DO NOT use
What is the generic name of Natrecor?